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WHITE SHIELD CENTER
NPI 1548652316
Counselor in Portland, OR

Active since March 03, 2015
2640 NW ALEXANDRA AVE, PORTLAND, OR 97210(503) 731-3960 Get Directions Write a Review

NPPES record last updated: March 3, 2015. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About White Shield Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WHITE SHIELD CENTER (NPI 1548652316) is a healthcare organization registered as a counselor in Portland, Oregon and active in the NPI registry since March 2015. The organization lists Diane Brandsma, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1548652316
Entity TypeOrganization
Primary Taxonomy101Y00000X
Legal Business NameWHITE SHIELD CENTER
Location Address2640 NW ALEXANDRA AVEPortland, OR 97210-1289
Mailing AddressPo Box 10027, White Shield CenterPortland, OR 97296
Phone(503) 731-3960
Organization SubpartNo
Authorized OfficialDiane BrandsmaExecutive Director · (503) 731-3961
Enumeration DateMarch 3, 2015
✔ NPI 1548652316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
2640 NW ALEXANDRA AVE, Portland, OR 97210
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY JOHNSON
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
RACHEL FULLER
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
PETER MASON LEE B.A.
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
JULIE MELISSA HALE BSW
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
SHEEMA SHARIAT
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
ROSA MONTOYA
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248
JODI LYNN DEVERELL QMHA
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 731-3968
MS. EMILY RIANE DRAKE
Counselor
2640 NW ALEXANDRA AVE
PORTLAND, OR 97210
Multnomah County (503) 239-1248

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is White Shield Center's NPI number?

The NPI number for White Shield Center is 1548652316. It was assigned to this organization in the NPPES registry on March 3, 2015.

Where is White Shield Center located?

White Shield Center is located at 2640 NW Alexandra Ave, Portland, OR 97210. The listed phone number is (503) 731-3960.

What is White Shield Center's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for White Shield Center was last updated on March 3, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.